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Student Orientation Form

In order to begin, please complete the information below. Please note that this information will take 10 business days to process. All information needs to be processed prior to the beginning of your rotation.

NOTE: Please submit this application at least six (6) weeks prior to the start date of the clinical/internship rotation.

Before you begin make sure you have the following:
  1. Have you been approved to do your intern/rotation/practicum by MCHS?
  2. Has your school filled out the Attestation for Student Screening form and is it ready to be upload?
  3. Do you have a passport size photo or school picture ID ready to upload in JPG or GIF format?
Make sure to use the Student Orientation Guide to study for the Student Assessment questions asked towards the bottom of this form.


Today
Today

Today

Please read the Health immunization guide to avoid confusion as to what kind of immunization you have to have.

Have you had any of the following?
















(PDF or MSWord .doc format) Please make sure that your files are not larger than 10 megabytes or you will get an error.

Make sure to use the Student Orientation Guide to study for the Student Assessment questions below.
































































The hospital fully complies with the Age Discrimination in Employment Act of 1968 and the Civil Rights Act of 1964 which prohibits employment discrimination based on race, color, creed, sex, age, nation origin, and physical disability of veteran status. A Criminal Conviction record search is required of all prospective students at MCH. A conviction record is not necessarily a bar to employment; Factors such as age at the time of the offence, seriousness and nature of the violation and rehabilitation will be taken into account. However, concealment of any conviction on this application shall be cause for discharge whenever discovered.

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